Frequency domain optical coherence tomography to assess non-ostial left main coronary artery

Burzotta, Francesco; Dato, Ilaria; Trani, Carlo; Pirozzolo, Giancarlo; Maria, Giovanni Luigi De; Porto, Italo; Niccoli, Giampaolo; Leone, Antonio Maria; Schiavoni, Giovanni; Crea, Filippo

doi:10.4244/eijv10i9a179

Cited by 53 publications

(43 citation statements)

References 13 publications

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“…More detail is available if manual pullback is used, and consequently IVUS can offer superior assessment of the LMCA ostium. For these reasons, although we recognise the value of OCT in distal LMCA assessment, 20 we believe that IVUS should probably still be considered the first-line imaging method for LMCA and LMCA ostium assessment. Table 1 summarises the main technical features of these two techniques.…”

Section: Definition Of Lmca Anatomy and Plaque Distributionmentioning

confidence: 96%

Use of Intravascular Ultrasound Imaging in Percutaneous Coronary Intervention to Treat Left Main Coronary Artery Disease

Maria¹,

Banning²

2017

Interventional Cardiology Review

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Due to its potential prognostic implications and technical complexity, revascularisation of left main coronary artery (LMCA) disease requires careful consideration. Since publication of the results of the SYNTAX study, and more recently the EXCEL and NOBLE trials, there has been particular interest in percutaneous revascularisation of the LMCA. It is becoming clear that percutaneous revascularisation of LMCA disease requires appropriate lesion preparation and carefully optimised stenting in order to offer patients a treatment option as effective as coronary artery bypass grafting. For this reason intravascular imaging, and especially intravascular ultrasound, is becoming a key procedural step in LMCA percutaneous coronary intervention. In the current review paper we analyse the role of intravascular imaging with intravascular ultrasound in LMCA percutaneous coronary intervention, focusing on the main applications in this context from lesion assessment to stent sizing and optimisation.

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Section: Definition Of Lmca Anatomy and Plaque Distributionmentioning

confidence: 96%

Use of Intravascular Ultrasound Imaging in Percutaneous Coronary Intervention to Treat Left Main Coronary Artery Disease

Maria¹,

Banning²

2017

Interventional Cardiology Review

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“…[54][55][56] Optical coherence tomography is a feasible alternative to IVUS for the assessment of non-ostial LMCA disease prior and after stenting. 57,58 Physiology guidance…”

Section: Intravascular Imaging Guidancementioning

confidence: 99%

Management of left main disease: an update

Fajadet

Capodanno

Stone

2018

European Heart Journal

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A severe narrowing of the left main coronary artery (LMCA), usually due to atherosclerosis, jeopardizes a large area of myocardium and increases the risk of major adverse cardiac events. Management strategies for LMCA disease include coronary artery bypass grafting (CABG) and percutaneous coronary intervention (PCI). In general, PCI offers more rapid recovery and a lower early adverse event rate, whereas CABG offers a more durable procedure. The largest of six LMCA trials comparing PCI with CABG recently reported that in patients with site-reported low or intermediate anatomical complexity PCI was non-inferior to CABG with respect to the composite of death, stroke, or myocardial infarction at 3 years. This result was obtained on a background of contemporary PCI standards, including safer and more effective stents, intravascular imaging and physiology assessment. This review updates on the current management of LMCA disease, with an emphasis on clinical data and procedural knowledge supporting the use of PCI in a growing proportion of patients.

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“…Dies tritt in der Regel nur bei Aufnahmen im Bereich des ostialen Hauptstamms auf und kann ggf. über eine zentrale Ausrichtung des Katheters minimiert werden [19].…”

Section: Eindringtiefeunclassified

Empfehlungen zur Anwendung von intravaskulärer Bildgebung (optische Kohärenztomographie)

et al. 2017

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Frequency domain optical coherence tomography to assess non-ostial left main coronary artery

Abstract: The results of the present study show that FD-OCT assessment of non-ostial LM disease is feasible and may provide high-quality imaging. OCT assessment of distal LM is more efficient than that of the proximal LM segment.

Cited by 53 publications

References 13 publications

Use of Intravascular Ultrasound Imaging in Percutaneous Coronary Intervention to Treat Left Main Coronary Artery Disease

Use of Intravascular Ultrasound Imaging in Percutaneous Coronary Intervention to Treat Left Main Coronary Artery Disease

Management of left main disease: an update

Empfehlungen zur Anwendung von intravaskulärer Bildgebung (optische Kohärenztomographie)

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